for rue form

you read the form so i think you're absolutely amazing for doing so just copy everything after this line please c:

<div style="padding:10PX 55PX;font-family:TAHOMA;font-size:8PX;text-transform:UPPERCASE;text-align:JUSTIFY;line-height:11PX;color:157A75"><img src="http://i.imgur.com/P9cSGxF.gif"width="330"><br><br>
<DIV STYLE="border-left:SOLID 5PX;padding:0PX 2PX;border-right:SOLID 5PX;text-align:CENTER;">'FOR RUE' » FORM </DIV>
<DIV STYLE="padding:2PX 5PX;color:000;">
| TITLE | TEXT HERE <BR>
| SUBTITLE | OPTIONAL TEXT HERE <BR>
| COLOURSCHEME | FROM colourlovers.com LINK HERE <BR>
| COLLUMNS | [ ] ONE [ ] TWO <BR>
| CODING IDEAS | AMOUNT OF HEADERS, LINKS DIRECTORY ETC. HERE <BR>
| ANY OTHER IDEAS | REGARDING THE WAY YOU WANT YOUR THREAD TO LOOK GO HERE<BR><BR>

FOR LATER REFERENCE: <BR>
[ ] I AM CANCELING MY REQUEST <BR>
[ ] I REQUESTED ON ANOTHER THREAD, THE OWNER IS FINE WITH IT